Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $69.18 / $173.78	Professional		$56.23	$69.18	$173.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $38.90 / $91.20	Professional	26	$21.88	$38.90	$91.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $38.90 / $107.15	Professional	TC	$33.88	$38.90	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $154.88 / $426.58	Professional		$29.51	$154.88	$426.58
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $66.07 / $173.78	Professional	26	$12.02	$66.07	$173.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $97.72 / $251.19	Professional	TC	$17.78	$97.72	$251.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $95.50 / $141.25	Facility	26	$85.11	$95.50	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $102.33 / $218.78	Professional		$34.67	$102.33	$218.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $35.48 / $81.28	Professional	26	$13.49	$35.48	$81.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $67.61 / $138.04	Professional	TC	$18.62	$67.61	$138.04
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $239.88	Professional		$218.78	$218.78	$239.88
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $74.13 / $81.28	Professional	26	$74.13	$74.13	$81.28
DeanCare Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $141.25 / $158.49	Professional	TC	$141.25	$141.25	$158.49
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $123.03 / $123.03	Facility	26	$123.03	$123.03	$123.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $91.20 / $426.58	Professional		$48.98	$91.20	$426.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $45.71 / $213.80	Professional	26	$19.95	$45.71	$213.80
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $48.98 / $275.42	Professional	TC	$28.84	$48.98	$275.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $275.42	Professional		$125.89	$199.53	$275.42
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $169.82	Facility	26	$100.00	$100.00	$169.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $331.13 / $426.58	Professional		$34.67	$331.13	$426.58
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $141.25 / $213.80	Professional	26	$12.88	$141.25	$213.80
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $194.98 / $275.42	Professional	TC	$18.62	$194.98	$275.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $208.93 / $389.05	Professional		$53.70	$208.93	$389.05
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $22.39 / $104.71	Professional	26	$22.39	$22.39	$104.71
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $32.36 / $154.88	Professional	TC	$32.36	$32.36	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $66.07 / $154.88	Professional		$43.65	$66.07	$154.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $28.84 / $72.44	Professional	26	$17.78	$28.84	$72.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $38.02 / $93.33	Professional	TC	$25.12	$38.02	$93.33